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Individual therapy

Therapy for anxiety, burnout and the weight of doing well.

One-to-one psychotherapy for adults and teens in New York navigating anxiety, depression, trauma/PTSD, perfectionism, career pressure, grief, relationship stress, and major life transitions.

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In short

Individual therapy is regular one-to-one work, usually weekly and fifty minutes long, focused on understanding the patterns driving your anxiety, exhaustion or dissatisfaction, steadying how you feel day to day, and making deliberate changes that hold. Sessions take place online, through Cognizant Psychotherapy.

Who this is for

Adults and teens who are used to functioning well and are finding that it is costing more than it used to, or that something important is missing. You may be at the top of your field, in the middle of a degree, newly promoted, newly redundant, or newly aware that the way you have been living is not sustainable.

You do not need to be in crisis to come.

What may bring you in

  • Anxiety. Anticipatory worry, rumination, physical tension, difficulty switching off, a sense of constant low-grade emergency.
  • Burnout. Depletion that rest does not resolve, cynicism about work you used to care about, dread on Sunday evenings, numbness.
  • Perfectionism and over-responsibility. Standards that have stopped being useful, difficulty delegating, guilt at rest, carrying what belongs to other people.
  • Depression. Flatness, loss of interest, self-criticism, withdrawal, and the exhaustion of performing normality for everyone else.
  • Trauma. Earlier experience that still intrudes on the present: hypervigilance, avoidance, reactivity that feels out of proportion to now.
  • Career and academic pressure. High-stakes decisions, leadership isolation, exit or redundancy, exams and applications, visibility, imposter feelings, the pace never dropping.
  • Identity and life transitions. Relocation, migration, parenthood, divorce, illness, a role ending, success that did not feel the way you expected.
  • Grief. Bereavement, and the less recognized losses: a version of yourself, a plan, a relationship, a company, a future you were counting on.
  • Relationship stress. Conflict, distance, resentment, people-pleasing, difficulty asking for anything, family dynamics that still shape you.
  • Perinatal loss and postpartum. Infertility and treatment, miscarriage, stillbirth, postpartum anxiety or depression, and grief that others often treat as smaller than it is.

What we can explore

What the anxiety is protecting you from, and what it costs. Where your standards came from and whether you still agree with them. Where is this disturbance coming from and what does it say about you. How your body holds pressure. What you are grieving. What you actually want, as distinct from what you have been achieving.

Where earlier experience is still driving current reactions, we may use EMDR or trauma-informed approaches, discussed and agreed with you first, and never applied by default.

What working together feels like

Direct, warm and unhurried. I am active rather than silent. I ask real questions, I notice patterns out loud, and I will tell you what I am thinking. You set the pace and the agenda, and nothing you say here needs to be tidied up first.

Common questions about individual therapy

Do I need a diagnosis to start therapy?

No. Most people begin because something is not working, whether that is sleep, mood, a relationship, or their relationship to work, rather than because they have a diagnosis. Part of early sessions is understanding together what is actually going on.

How long does therapy take?

It depends on what you are working on and what you want from it. Some people come for a focused stretch of a few months around a specific decision or transition; others stay longer for deeper work. We review it together rather than leaving it open-ended by default. I do not promise a particular outcome or timeline.

Is this different from coaching?

Yes. Coaching is oriented to goals and performance. Psychotherapy is clinical work: it attends to mental health, history, emotion and meaning, within a professional and ethical framework including assessment, confidentiality and supervision. My business background informs how I listen, and it is not what I am selling.